Providing claim service remotely, the full-time Claims Adjuster I will evaluate, adjudicate, and process claims in a timely manner while ensuring compliance with state regulations and company policies. Key responsibilities Review policy provisions and medical documentation to make appropriate claim decisions Calculate benefit payments and process claims using the appropriate administrative system Communicate with beneficiaries and policyholders to request additional documentation and inform them of claim decisions Required qualifications Bachelor's degree preferred or equivalent to 8 years of work-related experience 3 years of customer service experience in the insurance or financial services industry, with 1 year of claims experience preferred Basic knowledge of claims administrative procedures and insurance products Proficiency in Microsoft Word, Excel, and Outlook Good critical thinking and decision-making abilities